Page 1 of 200
HESI LEADERSHIP EXIT EXAM VERSION 2
(CURRENTLY UPDATED VERSION)
COMPLETE ACCURATE TEST REAL
QUESTIONS AND CORRECT VERIFIED
ANSWERS) |ALREADY GRADED A+ (FULL
REVISED) HESI LEADERSHIP ACTUAL EXIT
EXAM VERSION 2 (V2)
1. A charge nurse is making assignments on a medical-
surgical unit. Which patient should be assigned to the most
experienced RN?
A) Patient with pneumonia requiring IV antibiotics every 6
hours
,Page 2 of 200
B) Patient newly admitted with unstable atrial fibrillation and
hypotension
C) Patient post-appendectomy day 2 requesting pain
medication
D) Patient with a urinary tract infection and oral antibiotics
Answer: B – Unstable cardiac rhythm with hypotension
requires expert RN assessment and intervention.
Rationale: Acuity matching: Most experienced RN must handle
hemodynamically unstable patients.
2. The RN delegates vital signs to a UAP for a patient post-
cardiac catheterization. Which action requires the RN to
intervene immediately?
A) UAP takes blood pressure on the same arm as the femoral
access site
B) UAP records temperature 98.6°F orally
,Page 3 of 200
C) UAP places call light within reach
D) UAP asks patient about pain level before leaving
Answer: A – Taking BP on the access arm can disrupt the
arterial closure device or cause bleeding.
Rationale: UAP may not know post-cath precautions; RN must
correct this error immediately.
3. A nurse manager hears two staff members arguing
loudly at the nurses’ station. Which leadership action is
appropriate first?
A) Send both staff members to human resources
B) Ignore the behavior to avoid embarrassment
C) Pull both aside to a private area and address the conflict
D) Document the incident in their personnel files
Answer: C – Private, immediate, non-punitive conflict
resolution preserves dignity and prevents escalation.
, Page 4 of 200
Rationale: First step in conflict management is private
discussion to understand both perspectives.
4. During a mass casualty incident, a victim is unconscious,
not breathing, and has no pulse. What triage tag color is
assigned?
A) Red
B) Yellow
C) Green
D) Black
Answer: D – Black (expectant) – no pulse, no breathing, no
signs of life in MCI.
Rationale: Resources are reserved for those with salvageable
life threats.
5. An RN notes that a UAP frequently forgets to record
intake and output. What is the best initial leadership
HESI LEADERSHIP EXIT EXAM VERSION 2
(CURRENTLY UPDATED VERSION)
COMPLETE ACCURATE TEST REAL
QUESTIONS AND CORRECT VERIFIED
ANSWERS) |ALREADY GRADED A+ (FULL
REVISED) HESI LEADERSHIP ACTUAL EXIT
EXAM VERSION 2 (V2)
1. A charge nurse is making assignments on a medical-
surgical unit. Which patient should be assigned to the most
experienced RN?
A) Patient with pneumonia requiring IV antibiotics every 6
hours
,Page 2 of 200
B) Patient newly admitted with unstable atrial fibrillation and
hypotension
C) Patient post-appendectomy day 2 requesting pain
medication
D) Patient with a urinary tract infection and oral antibiotics
Answer: B – Unstable cardiac rhythm with hypotension
requires expert RN assessment and intervention.
Rationale: Acuity matching: Most experienced RN must handle
hemodynamically unstable patients.
2. The RN delegates vital signs to a UAP for a patient post-
cardiac catheterization. Which action requires the RN to
intervene immediately?
A) UAP takes blood pressure on the same arm as the femoral
access site
B) UAP records temperature 98.6°F orally
,Page 3 of 200
C) UAP places call light within reach
D) UAP asks patient about pain level before leaving
Answer: A – Taking BP on the access arm can disrupt the
arterial closure device or cause bleeding.
Rationale: UAP may not know post-cath precautions; RN must
correct this error immediately.
3. A nurse manager hears two staff members arguing
loudly at the nurses’ station. Which leadership action is
appropriate first?
A) Send both staff members to human resources
B) Ignore the behavior to avoid embarrassment
C) Pull both aside to a private area and address the conflict
D) Document the incident in their personnel files
Answer: C – Private, immediate, non-punitive conflict
resolution preserves dignity and prevents escalation.
, Page 4 of 200
Rationale: First step in conflict management is private
discussion to understand both perspectives.
4. During a mass casualty incident, a victim is unconscious,
not breathing, and has no pulse. What triage tag color is
assigned?
A) Red
B) Yellow
C) Green
D) Black
Answer: D – Black (expectant) – no pulse, no breathing, no
signs of life in MCI.
Rationale: Resources are reserved for those with salvageable
life threats.
5. An RN notes that a UAP frequently forgets to record
intake and output. What is the best initial leadership
